Provider Demographics
NPI:1760031223
Name:TORRES, ROSA ISELA (MS, LIMHP, LMFT)
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:ISELA
Last Name:TORRES
Suffix:
Gender:F
Credentials:MS, LIMHP, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 SHADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-7754
Mailing Address - Country:US
Mailing Address - Phone:402-202-9057
Mailing Address - Fax:
Practice Address - Street 1:4435 O ST STE 212-B
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1842
Practice Address - Country:US
Practice Address - Phone:402-202-9057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-08
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3373101YM0800X
NE5744101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health